友情提示：本文是Tina邊觀看視頻邊聽寫完成的。因能力有限，如有疏漏不足之處，還敬請各位親們包涵和指正！在此感謝了！
此外，建議親們在Wifi環境下觀看，土豪請隨意哈！
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Removal of the appendix called appendectomy (闌尾切除術) is performed when appendicitis (闌尾炎) is suspected.
Right lower abdominal pain (右下腹疼痛), fever, and elevated white-blood-cell count (白細胞計數升高) are common symptoms and signs of appendicitis which usually occurs when a blockage develops between the appendix and the intestine. This leads to infections swelling and distension (腫脹) if the appendix is not removed. It can lead to a life-threatening perforation (穿孔) or rupture (破裂).
The most common treatment for appendicitis is appendectomy which is almost always performed on an emergency basis (急診手術). Laparoscopic techniques (腹腔鏡技術) require only tiny keyhole incisions (微小切口) or puncture wounds to get inside your abdomen. Your surgeon will make a small keyhole incision near your bellybutton (肚臍) known as an umbilical port (肚臍) with a tube called a trocar gasps will then be pumped through this port to puff up (充氣) your abdomen, so its contents can be viewed more easily.
Next, your surgeon will insert a laparoscope (腹腔鏡) through this port. The laparoscope is a thin tube with a tiny camera on the end of it that projects images onto a monitor (將圖像投射到顯示器上) to guide your surgeons work. Using the laparoscope your surgeon will examine images of your appendix on the monitor to confirm that it's red and swollen. If your appendix needs to be removed, additional ports will be created. Your surgeon will pass surgical instruments (外科手術器械) through these other ports to grasp the appendix. Another instrument will be used to separate the appendix from the intestine and close the ends with staples (腹腔釘，用於吻合切口).The appendix will be placed into a specimen bag (標本袋) and removed through one of the ports at the end of the procedure.
The laparoscope and surgical instruments will be removed a port. Valve (充氣閥)will be left in place briefly to allow the gas to escape from the abdomen. The incisions will be closed with sutures followed by skin glue (皮膚膠) or skin closure tape (皮膚閉合貼).
If your appendix can't be removed laparoscopically, your surgeon will switch to an open procedure (開放性手術). Reasons for switching to an open procedure include an extensive infection (大面積感染)or abscess (膿腫), a perforated appendix which means there's a hole in it, obesity dents, scar tissue from previous abdominal surgery, difficulty viewing the organs with the laparoscope, and bleeding problems during the operation.
An open appendectomy is done directly through a slightly larger abdominal incision over your appendix or through a lower mid-line incision as needed. The surgeon will tie off (打結) the appendix with sutures (縫線) and remove it then the incision will be closed with sutures or staples.
Tina空中微課堂醫學英語資料：
還是輕敵了，來美讀護理博士比我想像得要難！
追逐夢想，永不停歇！——護士Tina的成長記！
學習外語通關秘籍六部曲-看完功力大增
醫學英語縮寫詞集錦-希望你能找到心儀的她
Tina和你一起朗讀23個單元，3000基礎醫學英語詞彙!
Tina空中微課堂醫學英文朗讀全集-30篇文章（內外婦兒等專科）
目前最全的醫學英語詞根前綴後綴匯總（配Tina語音朗讀）
放射影像醫學英語資料匯總
Leona老師朗讀-Alzheimer’sdisease阿茨海默症
Leona老師朗讀-慢性腎功能衰竭
Leona老師朗讀-骨折Fracture
Resist toplasticbags!塑膠袋最終也會讓人類無處可逃！
BABY小心！很有可能壞人就在身邊！
虐待兒童-不要再讓天使折翼！
肥胖，不可忽視的慢性流行病殺手！
帕金森病Parkinson's disease (PD)
糖尿病酮症酸中毒（Diabetic ketoacidosis, DKA）
肌萎縮側索硬化症 Amyotrophic lateral sclerosis (ALS)
Chvostek's sign&Trousseau's sign, 這是什麼體徵？
Kawasaki disease川崎病-怎樣像日本人的名字？
全身無力! 是懶癌還是重症肌無力？
Aortic Valve Replacement-主動脈瓣膜置換術
結核病Tuberculosis
手機電腦玩得手痛？有沒有！看看腕管症候群就能找到原因啦！
隆重推出藥理學單詞（附音標和音頻）-1
隆重推出藥理學單詞（附音標和朗讀）-2
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你想知道更多的醫學英語術語知識嗎？
Tina空中微課堂在CCtalk上推出的一系列醫學英語教學視頻
《醫學英語術語學》（1.5版）
《醫學英語術語學-腫瘤醫學》
《醫學英語術語學-眼科醫學》